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Abstract：
BACKGROUND: Foster families may represent an alternative model for dependent older adults in many countries where nursing homes are insufficiently developed. This study aimed to assess the prevalence of malnutrition and its determinants in older adults living in foster families in Guadeloupe (French West Indies).
METHODS: This cross-sectional study was gathered from the KASAF (Karukera Study of Ageing in Foster families) study (n = 107, 41M/66F, Mdn 81.8 years). Nutritional status was assessed with the Mini Nutritional Assessment Short-Form (MNA-SF). Clinical characteristics and scores on geriatric scales (Mini-Mental State Examination (MMSE), Activities of Daily Living (ADL), Short Physical Performance Battery (SPPB), Center for Epidemiologic Studies- Depression (CESD) and Questionnaire Quality of Life Alzheimer\'s Disease (QoL-AD)) were extracted. Bivariate analysis and logistic models adjusted for age and gender were performed to test the association of nutritional status with socio-demographic variables and geriatric scales.
RESULTS: Thirty (28.0%) older adults were malnourished (MNA-SF score ≤7). In bivariate analysis, malnutrition was associated with an increased prevalence of cardiovascular diseases (46.7% versus 19.5%, p = 0.004), the presence of hemiplegia (30.0% versus 6.5%, p = 0.003), a poorer cognitive status (MMSE score 4.7 ± 7.1versus 9.7 ± 10.7; p = 0.031), higher risk of depression (CESD score 27.3 ± 23.0 versus 13.5 ± 14.4; p = 0.035) and dependency (ADL score 1.9 ± 1.9 versus 2.3 ± 2.1; p<0.001). Malnutrition was also associated with lower caregivers\'rating of QoL (QoL-AD score 21.8 ± 6.4 versus 26.0 ± 5.7; p = 0.001) but not by older adult\'s rating (24.1 ± 11.2 versus 28.3 ± 7.7; p = 0.156). Similar associations were observed in logistic models adjusted for age and gender.
CONCLUSIONS: Malnutrition was common among foster families for older adults. Special attention towards the prevention and treatment of malnutrition in older adults from cardiovascular diseases, cognitive impairment, dependency and depression is necessary in this model of dependency support.
METHODS: This cross-sectional study was gathered from the KASAF (Karukera Study of Ageing in Foster families) study (n = 107, 41M/66F, Mdn 81.8 years). Nutritional status was assessed with the Mini Nutritional Assessment Short-Form (MNA-SF). Clinical characteristics and scores on geriatric scales (Mini-Mental State Examination (MMSE), Activities of Daily Living (ADL), Short Physical Performance Battery (SPPB), Center for Epidemiologic Studies- Depression (CESD) and Questionnaire Quality of Life Alzheimer\'s Disease (QoL-AD)) were extracted. Bivariate analysis and logistic models adjusted for age and gender were performed to test the association of nutritional status with socio-demographic variables and geriatric scales.
RESULTS: Thirty (28.0%) older adults were malnourished (MNA-SF score ≤7). In bivariate analysis, malnutrition was associated with an increased prevalence of cardiovascular diseases (46.7% versus 19.5%, p = 0.004), the presence of hemiplegia (30.0% versus 6.5%, p = 0.003), a poorer cognitive status (MMSE score 4.7 ± 7.1versus 9.7 ± 10.7; p = 0.031), higher risk of depression (CESD score 27.3 ± 23.0 versus 13.5 ± 14.4; p = 0.035) and dependency (ADL score 1.9 ± 1.9 versus 2.3 ± 2.1; p<0.001). Malnutrition was also associated with lower caregivers\'rating of QoL (QoL-AD score 21.8 ± 6.4 versus 26.0 ± 5.7; p = 0.001) but not by older adult\'s rating (24.1 ± 11.2 versus 28.3 ± 7.7; p = 0.156). Similar associations were observed in logistic models adjusted for age and gender.
CONCLUSIONS: Malnutrition was common among foster families for older adults. Special attention towards the prevention and treatment of malnutrition in older adults from cardiovascular diseases, cognitive impairment, dependency and depression is necessary in this model of dependency support.
摘要：
背景：在许多国家，疗养院发展不充分，寄养家庭可能是依赖老年人的替代模式。这项研究旨在评估生活在瓜德罗普岛（法属西印度群岛）寄养家庭中的老年人营养不良的患病率及其决定因素。
方法：这项横断面研究来自KASAF（家养家庭老龄化的Karukera研究）研究（n=107，41M/66F，Mdn81.8年）。用微型营养评估简表(MNA-SF)评估营养状况。临床特征和老年量表评分(简易精神状态检查(MMSE)，日常生活活动（ADL），短物理性能电池（SPPB），抽取流行病学研究中心-抑郁症(CESD)和阿尔茨海默病生活质量问卷(QoL-AD)。进行了双变量分析和根据年龄和性别调整的逻辑模型，以测试营养状况与社会人口统计学变量和老年量表的关联。
结果：30名（28.0%）老年人营养不良（MNA-SF评分≤7）。在双变量分析中，营养不良与心血管疾病患病率增加相关(46.7%对19.5%，p=0.004),偏瘫的存在(30.0%对6.5%，p=0.003),认知状态较差（MMSE评分4.7±7.1vs.9.7±10.7；p=0.031），抑郁风险较高(CESD评分27.3±23.0对13.5±14.4;p=0.035)和依赖性(ADL评分1.9±1.9对2.3±2.1;p<0.001).营养不良也与护理人员QoL评分较低相关(QoL-AD评分21.8±6.4对26.0±5.7;p=0.001),但与老年人评分(24.1±11.2对28.3±7.7;p=0.156)无关。在根据年龄和性别调整的逻辑模型中观察到类似的关联。
结论：营养不良在老年人的寄养家庭中很常见。特别注意预防和治疗老年人心血管疾病引起的营养不良，认知障碍，在这种依赖支持模型中，依赖和抑制是必要的。
方法：这项横断面研究来自KASAF（家养家庭老龄化的Karukera研究）研究（n=107，41M/66F，Mdn81.8年）。用微型营养评估简表(MNA-SF)评估营养状况。临床特征和老年量表评分(简易精神状态检查(MMSE)，日常生活活动（ADL），短物理性能电池（SPPB），抽取流行病学研究中心-抑郁症(CESD)和阿尔茨海默病生活质量问卷(QoL-AD)。进行了双变量分析和根据年龄和性别调整的逻辑模型，以测试营养状况与社会人口统计学变量和老年量表的关联。
结果：30名（28.0%）老年人营养不良（MNA-SF评分≤7）。在双变量分析中，营养不良与心血管疾病患病率增加相关(46.7%对19.5%，p=0.004),偏瘫的存在(30.0%对6.5%，p=0.003),认知状态较差（MMSE评分4.7±7.1vs.9.7±10.7；p=0.031），抑郁风险较高(CESD评分27.3±23.0对13.5±14.4;p=0.035)和依赖性(ADL评分1.9±1.9对2.3±2.1;p<0.001).营养不良也与护理人员QoL评分较低相关(QoL-AD评分21.8±6.4对26.0±5.7;p=0.001),但与老年人评分(24.1±11.2对28.3±7.7;p=0.156)无关。在根据年龄和性别调整的逻辑模型中观察到类似的关联。
结论：营养不良在老年人的寄养家庭中很常见。特别注意预防和治疗老年人心血管疾病引起的营养不良，认知障碍，在这种依赖支持模型中，依赖和抑制是必要的。
